Aim
To investigate the feasibility and acceptability of the training process, procedures, measures and recruitment strategies necessary for a future investigation to test the reliability and validity ...of using positivity resonance measures in health care encounters.
Background
Although the measurement of positivity resonance is promising, and non‐participant observation is considered effective, their approaches to studying nurse–patient relationships have not been fully explored.
Design
A mixed‐methods observational study.
Methods
Video recordings of 30 nurse–patient dyads completing telehealth video visit encounters were edited and coded using behavioural indicators of positivity resonance. A post‐visit survey gathered data on the participants' perceptions of positivity resonance and the study procedures. The research team completed memos and procedural logs to provide narrative data on the study's training, coding, recruitment and operational procedures. The study included 33 persons with cancer and 13 oncology nurses engaging in telehealth video visit encounters at an academic oncology ambulatory care center located in the southeastern United States.
Results
Study procedures were found to be feasible and acceptable to participants. An adequate sample of participants (N = 46) were enrolled and retained in the study. Interrater reliability, as evidenced by Cohen's weighted kappa, ranged from .575 to .752 and interclass correlation coefficients >.8 were attainable within a reasonable amount of time and with adequate training. Behavioural indicators of positivity resonance were observed in all telehealth visits and reported by the participants in the perceived positivity resonance survey. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist guided reporting.
Conclusions
Designing research around the concept of positivity resonance is an innovative and feasible approach to exploring how rapport is cultivated within nurse–patient relationships.
Relevance to Professional Practice
Measuring positivity resonance may hold promise for exploring patient and nurse outcomes including trust, responsiveness, health‐related behaviours, well‐being, resilience and satisfaction.
Reporting Method
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist guided the reporting of results to ensure that adequate details of the study were provided to ensure an accurate and complete report.
Patient or Public Contribution
Planning of the research design and study procedures was done in consultation with nurse clinicians with experience with telehealth and managers responsible within the practice setting where the study was conducted. This ensured the study procedures were ethical, safe, secure and did not create unnecessary burden to the study participants. The study included collecting data from nurse and patient participants about the acceptability of the study procedures.
The Exemplary Practice Life of the Nurse Riley, Joan M.; Beal, Judy A.; Ponte, Patricia Reid
Journal of professional nursing,
09/2021, Letnik:
37, Številka:
5
Journal Article
Recenzirano
Odprti dostop
Nurses consistently stand out in extraordinary ways especially during a global crisis, recently confirmed in the current Covid-19 pandemic. What is opportune this time is the call for clarity around ...what nurses do and what society can expect from them. Nurses, as members of a global profession, need a platform to build a contemporary practice life. This paper proposes the model: The Exemplary Practice Life of the Nurse. It provides a framework to explicate the essence of the role of the nurse. The model posits four inter-related essential components or pillars that ground a nurse's behavior and commitment: professionalism, leadership, scholarly practice, and stewardship. This uncomplicated, straightforward model is universally applicable for nurses to apply in whatever roles they hold and at any point in their careers. The use of a holistic model, as a guide across a full career trajectory, supports the nurse's ability to prioritize individual pillars while understanding the inter-relationship and influence among the four pillars. The authors pose assumptions that form the basis of the registered nurse role and provide the foundation for the exemplary practice life of the nurse. They make recommendations to nurses, the profession, the workplace, the academy, and the community.
•Society can expect that nurses possess the capability to care for all who need it.•There is an increased awareness around the complexity of health care needs.•There is an increased urgency around the need for a well-educated nursing workforce.•There is a call for a holistic model to guide the exemplary practice life of a nurse.
To explore the effect of role reversal and standardized patient simulation on the training of new nurses.
This study was conducted in a territory hospital in China between August 2021 and August ...2022. The selected staff were all newly recruited and trained nurses, with a total of 58 cases. This study is a randomised controlled trial. The selected nurses were randomly divided into two groups. One group of 29 nurses (the control group) received routine training and assessment; the other group (the experimental group) was given role reversal combined with a standardized vertebral patient training examination. The implementation effects of different training and assessment methods were compared and analysed.
Before the training, the core competence scores of nurses in the two groups were lower, and there was no significant data difference (P > 0.05). After training, the core competence scores of nurses were improved, and the score of nurses in the experimental group was 165.49 ± 22.34. The difference was statistically significant when compared with the score of nurses in the control group (P < 0.05), indicating that nurses in the experimental group had better abilities. At the same time, the satisfaction of the two groups of nurses with the training was 96.55% (experimental group) and 75.86% (control group), and the difference in data was significant (P < 0.05). The satisfaction of the experimental group of nurses was higher, and the training effect was better.
In the training of new nurses, the combined application of role interchange and standardized patient training and assessment methods has significant effects, which can improve the core competency of nurses and improve the training satisfaction of nurses, which is significant.
Recent health care reform measures in Ukraine, as well as changes in the functioning of the health care system throughout the COVID-19 pandemic, have made significant adjustments to the work of ...health professionals, especially medical nurses and physicians, who have a heavy workload at the primary level of healthcare, as well as round-the-clock monitoring and care at the secondary and tertiary level of healthcare. To address this problem, to improve the quality of work of nurses and doctors, the effective measures could be implemented, such as supporting new graduates – doctors and nurses with different levels of education, creating opportunities for them to continue their education and gain experience in certain fields of medicine and nursing, promoting positive collegial relations, creation of programs to reduce stress and increase financial compensation. In Ukraine, these issues have not received sufficient attention, therefore new ways to solve them are required taking into consideration of the experience of the developed countries. The aim of the study ‒ to analyze the issues of protection of the interests of nurses and doctors in the health care system of Ukraine for a possible solution to these problems based on the professional self-government. Materials and Methods. Using the methods of system analysis, the share of issues related to the protection of the interests of nurses and doctors in self-governing professional organizations in Ukraine is shown. Results. The problematic issues of protection of the interests of nurses and doctors in health care institutions in Ukraine and ways to solve them through the system of medical self-government in a number of European countries are shown. The positive and problematic aspects of medical self-government in defending the interests of nurses and doctors are considered. In Ukraine, the prototype of self-governing organizations are public organizations such as the Medical Society, the Association of Nurses and Doctors, etc. Unfortunately, the issue of the interests of nurses and doctors is rather weakly reflected in them. More attention should be paid to determine the opportunities for participation in the decision of public health authorities, but only with the right advisory vote. Emphasis is placed on the problematic issues of continuing education of nurses and doctors. It is the medical self-government bodies that can propose and implement projects and schemes of professional development, using various motivating factors for professional development of medical staff. Conclusions. Analysis of the situation of protection of health workers and their safety in the health care systems of Ukraine revealed certain problems, such as more insufficient legal and financial guarantees for health workers, as well as organizational gaps, with certain strategies of professional nursing and medical self-government. The reasons for this difficult situation are lack of funding and management problems. Regarding the prospects of resolving this block of issues, they can be solved by medical self-government bodies with appropriate legal support due to the adoption of the Law on Self-Government of Medical Professions in Ukraine
Abstract
Background
The aim of this paper is to present the research results on the perception of the professional self-image by Polish nurses and midwives as well as the psychometric adaptation of ...the Belimage scale.
Methods
A cross-sectional survey was conducted from January to November 2018. The study group consisted of 670 clinical practice nurses and midwives. A diagnostic survey method was applied using the Belimage questionnaire after it obtained acceptable psychometric properties through an adaptation procedure.
Results
In the group of respondents, the professional image of nurses and midwives is dominated by instrumental skills, documentation and organization of care, and communication skills. There is a statistically significant difference in the image of these two professions in terms of the ability to think and act creatively and critically, as well as innovation and evidence-based practice. The respondents' opinion regarding the perception of their image by themselves and society is statistically significant in each of the analyzed areas. In the professional image created by the public, nurses and midwives recognize that being a nurse/midwife is a vocation—277 (41.3%). However, in terms of their self-image, most nurses and midwives consider their work to be hard—442 (66%) and poorly paid—445 (66.4%). In the psychometric validation process, the Belimage questionnaire retained the original item structure, and the reliability of the subscales assessed with the Cronbach's alpha coefficient ranged from 0.845 to 0.730.
Conclusions
The professional image of nurses and midwives varies depending on the profession and the perspective of the assessment in relation to themselves and society. The study showed a particularly unfavorable social image of nurses and midwives, which significantly influences the outlook of nurses and midwives themselves on this issue.
Practicums help nursing students to become familiar with nursing roles and to acquire a proper understanding of nursing behavior, functions, and values. Initial clinical practice experiences are ...highly important, especially for first-year nursing students, in terms of professional socialization. The aim of this study was to explore the initial experiences of first-year nursing students during clinical practices. This study was designed as a qualitative study based on Heidegger's hermeneutic phenomenological approach. The data were collected from diaries written by 12 first-year nursing students on their first clinical experiences. The obtained data were analyzed using van Manen's thematic analysis, the results of which helped to identify four themes: Conflict between feelings and professionalism, Trying to act like a nurse, Growth through challenges, and Care outcomes. Although the students experienced some emotional conflicts on the first clinical practice days, by the end of the term, they had achieved many accomplishments, including personal development, satisfaction with caring, and a feeling of belongingness. It was found that they needed support from the faculty and nurses to develop a caring vision and professional identity. While the students' initial nursing experiences seemed to be satisfactory, it can nonetheless be recommended that educators and nurses adopt approaches that serve to facilitate students' professional socialization.
The gender-based stereotype of nursing as a female profession has been a large obstacle to men entering the nursing profession. However, there is little quantitative research on the influence of ...prejudice induced by this stereotype on male nursing students' willingness to be nurses.
To examine the effect of perceived prejudice on willingness to be a nurse via the mediating effect of satisfaction with major among Chinese male nursing students.
A cross-sectional survey was used.
Four hundred and sixty male nursing students who were enrolled either in bachelor's programs in universities or advanced diploma programs in colleges in Jinan, China, were surveyed using questionnaires measuring perceived prejudice, satisfaction with major, and willingness to be a nurse. Structural equation modeling with bias-corrected bootstrapping was employed to determine the influence of perceived prejudice on willingness to be a nurse with major satisfaction as a mediator.
Male students who were in an advanced diploma nursing program and those for whom nursing was the first-choice major reported significantly less perceived prejudice, greater satisfaction with major, and greater willingness to be nurses than did those in a bachelor's nursing program and those for whom nursing was not the first-choice major, respectively. Moreover, although perceived prejudice had no significant direct effect on willingness to be a nurse (β=0.07, p>0.05), it did have a strong indirect effect (full mediation) via satisfaction with major (β=−0.59, p<0.001).
Perceived prejudice strongly influenced male nursing students' willingness to be nurses via the full mediating effect of satisfaction with major. Because this obsolete stereotype of nursing as a female occupation gives birth to prejudice against male nursing students, effective measures should be taken to change this stereotype to recruit more men as nursing staff.
•Perceived prejudice had a strong indirect effect on willingness to be a nurse.•Perceived prejudice had no significant direct effect on willingness to be a nurse.•Measures should be taken to change the stereotype of nursing as women's profession.
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